Progressive Care RN A Practice Exam:
Questions & Answers Guide
________________________________________________
**Question 1**
Which intervention is priority for a patient experiencing flash pulmonary edema?
o Administer beta-blockers
o Place patient in Trendelenburg position
☑ Administer high-flow oxygen and prepare for intubation
o Start IV fluids at a wide open rate
________________________________________________
**Question 2**
A patient with a spinal cord injury at T6 is at risk for autonomic dysreflexia. What is the
priority intervention?
o Administer nitroglycerin
o Elevate the head of the bed
☑ Identify and remove the noxious stimulus (full bladder, tight clothing)
o Administer IV fluids
________________________________________________
**Question 3**
Which medication is used to treat Torsades de Pointes?
o Amiodarone
o Lidocaine
, ☑ Magnesium sulfate
o Adenosine
________________________________________________
**Question 4**
A patient with a chest tube has continuous bubbling in the drainage chamber but no
fluctuation with breathing. What does this indicate?
o The chest tube is clamped
o The tube is kinked
☑ An air leak is present
o Normal chest tube function
________________________________________________
**Question 5**
What is the normal range for systemic vascular resistance (SVR)?
o 500-800 dynes/sec/cm⁻⁵
o 800-1200 dynes/sec/cm⁻⁵
☑ 800-1200 dynes/sec/cm⁻⁵ (some sources say 900-1400)
o 1500-2000 dynes/sec/cm⁻⁵
________________________________________________
**Question 6**
Which finding on a 12-lead ECG indicates a possible left ventricular myocardial
infarction?
o ST elevation in leads II, III, aVF
o ST elevation in leads V1, V2
☑ ST elevation in leads I, aVL, V5, V6
Questions & Answers Guide
________________________________________________
**Question 1**
Which intervention is priority for a patient experiencing flash pulmonary edema?
o Administer beta-blockers
o Place patient in Trendelenburg position
☑ Administer high-flow oxygen and prepare for intubation
o Start IV fluids at a wide open rate
________________________________________________
**Question 2**
A patient with a spinal cord injury at T6 is at risk for autonomic dysreflexia. What is the
priority intervention?
o Administer nitroglycerin
o Elevate the head of the bed
☑ Identify and remove the noxious stimulus (full bladder, tight clothing)
o Administer IV fluids
________________________________________________
**Question 3**
Which medication is used to treat Torsades de Pointes?
o Amiodarone
o Lidocaine
, ☑ Magnesium sulfate
o Adenosine
________________________________________________
**Question 4**
A patient with a chest tube has continuous bubbling in the drainage chamber but no
fluctuation with breathing. What does this indicate?
o The chest tube is clamped
o The tube is kinked
☑ An air leak is present
o Normal chest tube function
________________________________________________
**Question 5**
What is the normal range for systemic vascular resistance (SVR)?
o 500-800 dynes/sec/cm⁻⁵
o 800-1200 dynes/sec/cm⁻⁵
☑ 800-1200 dynes/sec/cm⁻⁵ (some sources say 900-1400)
o 1500-2000 dynes/sec/cm⁻⁵
________________________________________________
**Question 6**
Which finding on a 12-lead ECG indicates a possible left ventricular myocardial
infarction?
o ST elevation in leads II, III, aVF
o ST elevation in leads V1, V2
☑ ST elevation in leads I, aVL, V5, V6
